Search

Institutional ethnography (IE), a term coined by sociologist Dorothy Smith, explores the nuances of institutions and their complex relationships in sociology. IE is an approach to studying and analysing social organization, and it provides a more holistic understanding of 'invisible' relationships that govern institutions and how those relationships interact with each other. Health sciences researchers in patient care, patient experience, and allied health professionals have recently become more interested in the use of this methodology and how to incorporate it into their research. However, in health professions education (HPE) there is little use of IE. We hypothesize this may be because of limited practical knowledge of this methodology. This paper serves as an introduction to the use of IE in HPE, describing the differences between IE and traditional ethnographies, recognizing the common pitfalls when utilising IE, and incorporating texts into IE. While ethnographies may be daunting to researchers less familiar with these approaches, the tips in this paper will provide an introduction and help educators and researchers successfully navigate the use of IE in health profession scholarship and education. [ABSTRACT FROM AUTHOR]

In the context of growing nationalisms and Euroscepticism, this paper develops the original concept of 'Everyday Europeanhood' on a theoretical level, building on related concepts, such as Skey and Antonsich's 'Everyday Nationhood', Billig's 'Banal Nationalism', Anderson's 'Imagined Communities' and Beck's 'Cosmopolitan Vision'. It applies the concept to the European Universities Initiative (EUI), seen as a tool to promote European identity, based on a common sense of belonging conveyed through everyday practice, among students and staff in European University Alliances. It is argued that, in the light of previous top-down European initiatives designed to symbolically reinforce a sense of shared European identity, the EUI seems more in phase with bottom-up 'everyday' processes of identity development. Taking the European University Alliance 'FORTHEM' as an example, core features, aspects, actions and outputs achieved so far within this alliance are categorised in the light of four dimensions of 'Everyday Europeanhood': 'Talking Europe', 'Choosing Europe', 'Performing Europe' and 'Consuming Europe'. [ABSTRACT FROM AUTHOR]

There is a fruitful tension in ethnomethodological work. On the one hand, real-world data are used to rein in analytical privilege. On the other, conceptual discussions necessarily take place in a more open analytical space. Describing settings in detail and thinking about things in the abstract are both essential components of the ethnomethodological project. What ethnographies might consist in complicates this picture. Garfinkel initially deflated the concept of 'ethnography', using it to refer to how all members of society make sense of their world. Sacks, on the other hand, initially construed his sociological project as a more rigorous form of professional ethnography. Ethnographic methods rightly remain an important tool for ethnomethodological analyses. They provide an empirical grounding for analysis and facilitate 'thinking about things' in a more open manner than some other forms of data. This paper argues that ethnographic analyses more generally can be used as ethnomethodological resources, (re)introducing the idea that others' fieldwork and analyses are legitimate resources for ethnomethodological work. Some materials from Elijah Anderson's classic ethnography A Place on the Corner are used to illustrate the possibilities taking this approach might offer. [ABSTRACT FROM AUTHOR]

This article draws on 2 years' worth of ethnographic observation of team meetings to explore decision‐making in an NHS clinical genomics service. The focus of discussions was on ambiguous genomic results known as VUS or Variants of Uncertain Significance, which may be pathogenic but which also may turn out to be benign. In examining decision‐making around such results, we note how, in contrast to much policy and promotional material in this area, clinicians in these meetings (clinical geneticists and genetic counsellors) place great emphasis on parental phenotypes and whether the parents of a patient share the symptoms and signs of the suspected condition. This information is then combined with the result of genomic tests to decide whether the variant a patient has is responsible for their condition. This article explores the way in which clinicians attempt to flexibly enrol parents into genomic explanations through informal diagnosis of their possible phenotypes and the way in which actually meeting parents allows some clinicians to trump explanations based on documentary or photographic data. The paper sheds light on the way that earlier scholarly understandings of such decisions (around, say dysmorphology) remain relevant and explores claims that laboratory tests overrule clinical decision‐making. [ABSTRACT FROM AUTHOR]

Educational discourses have embraced therapeutic discourse, a psychology-based system of assumptions about the self, its boundaries, development and social relations. While scholars have debated the virtues of this therapeutic turn, there has been little empirical study of therapeutic discourse in teacher pedagogical discourse. This article, using theoretical frameworks of teacher learning and the sociology of therapeutic discourse and employing linguistic ethnographic methods, features close analysis of therapeutic discourse in teacher workplace conversations. The focal case, in which a teacher consults with her colleagues regarding a non-compliant student, features four episodes of therapeutic reasoning (ETRs) in which various therapeutic logics are employed. Analysis uncovered three central manifestations of therapeutic discourse especially pertinent to education: the role of emotions; perceptions of the self; and temporality. Attending to these manifestations in each ETR reveals conditions under which they may enhance or impede potential for teacher learning and pedagogic action. When therapeutic modes of reasoning are deployed by teachers to discuss their problems of practice, they are found to be multifaceted, elastic, and to bear potential for agentive teacher action under certain conditions. This article calls for a more nuanced, temporally-sensitive perspective on therapeutic discourse in education, and addresses implications for theory and practice. [ABSTRACT FROM AUTHOR]